Expiration date: 04/2025

Structure and Composition:

Set coated tablets, different colors:

Yellow tavlet contains:

0.05 mg of desogestrel

ethinyl estradiol 0.035 mg

Red tablet contains:

0.1 mg desogestrel

0.03 mg ethinylestradiol

White tablet cintains:

0.15 mg of desogestrel

0.03 mg ethinylestradiol

Excipients: & alpha-tocopherol lactose (less than 65 mg) potato starch povidone colloidal silica anhydride, stearic acid iron oxide red (E172 - red tablets) iron oxide yellow (E172 - yellow tablets)

in blister 21 pcs. in bags of aluminum foil blister 1 or 3.

Dosage and administration:

Inside, in the order indicated on the package, every day at the same time, if necessary - with a small amount of liquid.

Take 1 table. 1 times a day for 21 days. Pills of the next pack starts 7 days after the previous one, in menstrualnopodobnoe bleeding occurs during these 7 days. It usually begins 2-3 days after the last tablet and can not stop before receiving the next pack of pills.

How to start taking the drug Tri-Merci

In the absence of prior hormonal contraceptive use (in the last month)

Receiving tablets should begin on the first day of the menstrual cycle. Maybe start taking the pills on day 2-5, but then during the initial cycle during the first 7 days of dosing is recommended to use an additional (non-hormonal) method of contraception.

Switching from another combined oral contraceptive

It is advisable to start taking the drug Tri-Merci on the next day after taking the last tablet of the combined oral contraceptive containing hormones, at least immediately after the break in a pill or a tablet containing no hormones.

Transition from formulations containing only a progestogen ( "mini-drink", injections, implants)

Women who take a "mini-pill" can go on taking the drug Tri-Merci on any day using an implant - on the day of removal of the drug using the drug in injectable form - on the day when should make another injection, in all cases during the first 7 Three days of the drug-Mercy is recommended to use an additional barrier method of contraception.

After abortion made in the I trimester

The woman may start taking the drug immediately. In this case there is no need to use any additional methods of contraception.

After delivery or abortion in the II trimester

It is recommended to start taking the drug at 21 or 28 days after birth or abortion. At the beginning of the drug at a later date recommended for the first 7 days of taking the drug Tri-Merci use barrier methods of contraception. In any case, if a woman after childbirth or abortion before you start taking the drug Tri-Merci already had sexual contacts, pregnancy should be excluded before you start taking a combined oral formulation or to wait until the first menstrual period.

Do not use during lactation.

In case of skipping the next dose

If administration delayed tablets once less than 12 hours, contraceptive reliability is not reduced. The woman should take the tablet as soon as she thought about it, and later - at the usual time.

If administration delayed regular tablets over 12 hours, contraceptive reliability may be reduced. In this case, should be guided by two basic rules:

• Taking the drug Tri-Merci should never be interrupted for more than 7 days
  
• To achieve the necessary degree of contraception, and suppression of the hypothalamic-pituitary-ovarian axis requires continuous taking the drug Tri-Merci for 7 days.
  

Week 1 (yellow tablets)

The woman should take the missed pill as soon as she thought about it, even if it means taking 2 tablets. simultaneously. Then, should continue to receive the usual way. Additionally, you should use a barrier method (condom) for the next 7 days. If a woman has had sexual intercourse within the preceding 7 days, the possibility of pregnancy should be considered. The more missed tablets and the closer a break in taking the drug at the time of sexual intercourse, the greater the risk of pregnancy.

Week 2 (red tablets)

The woman should take the missed pill as soon as she thought about it, even if it means taking 2 tablets. simultaneously. Then, should continue to receive the usual way. Provided that the woman takes the pill for 7 days preceding the first missed dose is not necessary to use additional (non-hormonal) contraceptive methods. Otherwise, or if she missed more than 1 table., It is recommended to use additional methods of contraception for the next 7 days.

Week 3 (white tablets)

Contraceptive reliability may be reduced due to the subsequent break in taking the drug. This can be avoided by adapting the scheme of the drug. If you use either of the two following schemes, there is no need to use additional contraceptive measures, provided that the woman is on the pill in time for the 7 days preceding the first missed dose.

Otherwise it is recommended to use one of the following two schemes and the use of additional measures of contraception for the next 7 days.

1. The woman should take the missed pill as soon as she thought about it, even if it means taking 2 tablets. simultaneously. Then, should continue to receive the usual way.

A tablet of a new pack should be started as soon as the end tablet from the current package, ie should not make the break. The probability of occurrence of bleeding at the termination of the drug before the end of the second pack of pills is low, but some may experience spotting or profuse bleeding even during treatment.

2. It is recommended to stop taking tablets from the current package. Women should take a break from taking the drug Tri-Merci for up to 7 days, including the days she forgot to take the pill, and then begin taking pills from a new package.

At the admission to taking the drug and the subsequent absence of bleeding in the near break in the reception, should consider the possibility of pregnancy.

Advice in case of vomiting

If vomiting occurs within 3-4 hours after dosing, the absorption may be incomplete. In this case, you should use the advice skip the next dose. If a woman does not want to change their usual dosage regimen, it is necessary to take additional (s) tablet (s) from a different package.

How to change the menstrual period

To delay menstruation, you should continue taking the white tablets from another drug packaging Tri-Merci without the usual break at the reception. Thus it is possible to delay menstruation for up to 7 days before the end of the white tablets from the second pack. During this period, the woman may experience spotting or heavy bleeding. The drug Tri-Merci in the usual way should be resumed after the 7-day interval in taking.

In order to shift the flow of blood on the day of the week, different from that which is expected, subject to the usual dosage regimen can reduce the usual break in reception for as many days as necessary. The shorter the interval, the higher the risk of lack of menstruation during the break and the occurrence of abundant or spotting while taking tablets from the second pack.